Individual provider Active NPI

Addisyn Heber, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1295625218
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
LE-00058028 Issued in OH
Practice address
921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone
(614) 268-8800
NPI assigned
Jul 9, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X LE-00058028 OH Primary

Addresses

Primary practice location

921 Jasonway Ave Ste B
Columbus, OH 43214-2456

Mailing address

921 Jasonway Ave Ste B
Columbus, OH 43214-2456
Phone (614) 268-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250828000586 OH Practitioner - Nurse Practitioner 8022519412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

135 Cedar Creek St
Delaware, OH 43015-3742

921 Jasonway Ave
Suite B
Columbus, OH 43214-2456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LE-00058028OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professionals for Womens Health Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

921 Jasonway Ave
Ste B
Columbus, OH 43214
Phone (614) 268-3505

6870 Perimeter Dr
#A
Dublin, OH 43016
Phone (614) 268-8800

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1295625218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 JASONWAY AVE STE B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142456",
            "telephone_number": "614-268-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBER",
        "first_name": "ADDISYN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "LE-00058028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.